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California rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.00 / $10,289.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.08 / $7,007.00 / $15,529.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $14,865.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $3,685.47 / $10,261.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.58 / $1,653.11 / $2,231.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.07 / $1,766.23 / $3,011.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,385.84 / $16,547.20 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.58 / $1,718.34 / $2,510.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,570.00 / $11,671.00 / $26,451.00